Individual
MR. DAVID PACQUIAO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
520 CONVERY BLVD, PERTH AMBOY, NJ 08861-3021
(732) 826-9222
(732) 293-0177
Mailing address
208 TINGLEY LN, EDISON, NJ 08820-1479
(908) 578-3962
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28RI03230500
NJ
Other
Enumeration date
09/09/2011
Last updated
09/09/2011
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